Lone Peak Public Safety District

Primary specialty

AmbulanceTaxonomy code 341600000X

License

2519-L Issued in UT

Legal business name

LONE PEAK PUBLIC SAFETY DISTRICT

Doing business as

Lone Peak Ambulance

Practice address

50 E 100 N
Alpine, UT 84004-1636

Phone

(801) 763-5365

NPI assigned

May 3, 2007

Last updated

Apr 14, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brad G Freeman, EMT

Title

EMS Director

Phone

(801) 763-5365

Specialties & licenses 1

Addresses

Other names 1

• Lone Peak Ambulance Doing business as

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1992917165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 E 100 N",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "84004",
            "telephone_number": "801-763-5365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 E 100 N",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041636",
            "telephone_number": "801-763-5365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONE PEAK PUBLIC SAFETY DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "EMS  DIRECTOR",
        "authorized_official_telephone_number": "801-763-5365",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "UT",
            "license": "2519-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lone Peak Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Lawler, DC
• Krista Lebaron
• Nelson Lee, CMHC
• Legacy Counseling Center
• Heather Leishman, PA-C
• Amanda Joy Loveland, NLP
• Elizabeth Brown Macdonald, ACMHC
• Brent D. Mains
• Wendell B Mendenhall, MPT
• Casey Moser, CSW

• Ambulance in Alpine, UT
• Providers in Alpine, UT by specialty
• Ambulance in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.